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New Member Application

CHAMBER MEMBERSHIP: Upon acceptance by the Board of Directors, the application for membership in the Roseville Chamber of Commerce will be renewed each year unless the undersigned gives 30 day written notice. While not tax deductible as a charitable contribution for federal income tax purposes, paid membership dues are deductible for most members as an ordinary and necessary business expense. Membership investments are non-refundable and non-transferable.

(*) Denotes Required Fields
Company Information
Company: *
Address Line 1: *
Address Line 2:
City: *
State: *
Zip: *
Phone 1: *
Phone 2:
Fax:
E-mail: *
Web Site:
Online Links:
Business Category #1:
Please contact us with questions regarding business categories.
Full-time Employees:
Part-time Employees:
Members-only Access
Members-only allows you to update your information online via a secure login.
Admin E-mail: *
Password: *
Verify Password: *
Primary Contact Person
Prefix:
First Name: *
Last Name: *
Suffix:
Familiar Name:
Title:
Address Line 1: *
Address Line 2:
City: *
State: *
Zip: *
Phone 1: *
Phone 2:
Fax:
E-mail: *
Billing Contact Person
Prefix:
First Name: *
Last Name: *
Suffix:
Familiar Name:
Title:
Address Line 1: *
Address Line 2:
City: *
State: *
Zip: *
Phone 1: *
Phone 2:
Fax:
E-mail: *
Home-Based Business:   
Investment Schedule
Business Type
Applicants must choose the "Non-profit" Business Category above to be eleigible for the Non-profit/Affiliate" investment schedule selection.
Annual Investment:$325.00
Number of EmployeesAmount
1 thru 5$325.00
6 thru 10$450.00
11 thru 20$600.00
21 thru 50$900.00
51 thru 300$1,750.00
Over 300 Employees$2,500.00*
* plus $1.00 per employee over 300
Registration Fee$50.00
__________
Total:$375.00
Businesses with the same owner, name and business category having multiple locations may join initial location at full investment level and subsequent locations at a fifty percent per additional location. Please contact the chamber to register subsequent locations at the discounted rate.
(*) Denotes Required Fields

THANK YOU TO OUR SIGNATURE PRESIDENT’S CIRCLE SPONSORS